Notes On Chp. 9 PDF
Notes On Chp. 9 PDF
Notes
1. William C. Menninger and Munro Leaf, You and Psychiatry (New York: Charles Scribner's
Sons, 1948), 70. This book was one of Menninger's efforts to popularize psychodynamic
personality theory, as well as convey the overwhelmingly social lessons of wartime clinical
work. He called it a "war baby" (p. v).
2. John Dollard and Neal E. Miller, Personality and Psychotherapy: An Analysis in Terms of
Learning, Thinking, and Culture (New York: McGraw-Hill Book Company, 1950), 5, emphasis
in original. Dollard and Miller were associated with the important postwar effort, based at
Yale's Institute of Human Relations, to put the principles of Freudian psychology to the test of
behavioral verification.
3. The definitive work on post-World War II mental health policy is Grob, From Asylum to
Community.
4. Greene, "The Role of the Psychiatrist in World War II," 499.
5. Miller, "Clinical Psychiatry in the Veterans Administration," 182. Similar statistics on the
numbers of psychiatric patients in the VA can be found in Blain, "Program of the Veterans
Administration for the Physical and Mental Health of Veterans," 33-46; Brand, "The National
Mental Health Act of 1946," 236-237; Menninger, Psychiatry in a Troubled World, 380; NNIA,
testimony of Dr. Daniel Blain, Chief, VA Neuropsychiatric Division, 28-30; Veterans Adminis-
tration, Department of Medicine and Surgery Policy Memorandum Number 2 (30 January
1946):4.
6. Menninger, Psychiatry in a Troubled World, 380; Brand, "The National Mental Health Act of
1946," 236-237.
7. Quoted in Emanuel K. Schwartz, "Is There Need for Psychology in Psychotherapy?" in
Psychology, Psychiatry and the Public Interest, ed. Maurice H. Krout (Minneapolis: University
of Minnesota Press, 1956), 118.
8. Blain, "Programs of the Veterans Administration for the Physical and Mental Health of
Veterans," 39; Nina Ridenour, Mental Health in the United States: A Fifty-Year History
(Cambridge: Harvard University Press, 1961), 61.
9. NNIA testimony of Dr. Daniel Blain, Chief, VA Neuropsychiatric Division, 29; Blain,
"Programs of the Veterans Administration for the Physical and Mental Health of Veterans," 43-
44.
10. For a detailed description of this program, see Dana L. Moore, "The Veterans
Administration and the Training Program in Psychology," in History of Psychotherapy, 786-
798.
11. Miller, "Clinical Psychiatry in the Veterans Administration," 182, 189.
12. Victor C. Raimy, ed., Training in Clinical Psychology (New York: Prentice-Hall, 1950), 166.
13. R. C. Tryon, "Psychology in Flux: The Academic-Professional Bipolarity," American
Psychologist 18 (March 1963):136. Tryon's analysis was based on a survey of American
Psychological Association membership directories from 1940, 1959, and 1962. For additional
statistical evidence, see George W. Albee, Mental Health Manpower Trends, Joint Commission
on Mental Health and Illness Monograph Series No. 3 (New York: Basic Books, 1959), 124-
125.
14. Greene, "The Role of the Psychiatrist in World War II," 530.
14. Greene, "The Role of the Psychiatrist in World War II," 530.
attention and money toward the more comfortable subject of mental health—see Joint
Commission on Mental Illness and Health, Action for Mental Health, chap. 3, 242.
49. John F. Kennedy, "Special Message to the Congress on Mental Illness and Mental
Retardation," 5 February 1963, in Public Papers of the Presidents of the United States, John
F. Kennedy, Containing the Public Messages, Speeches, and Statements of the President,
January 1 to November 22, 1963 (Washington, D.C.: Government Printing Office, 1964), 127.
49. John F. Kennedy, "Special Message to the Congress on Mental Illness and Mental
Retardation," 5 February 1963, in Public Papers of the Presidents of the United States, John
F. Kennedy, Containing the Public Messages, Speeches, and Statements of the President,
January 1 to November 22, 1963 (Washington, D.C.: Government Printing Office, 1964), 127.
50. Ibid., 127.
49. John F. Kennedy, "Special Message to the Congress on Mental Illness and Mental
Retardation," 5 February 1963, in Public Papers of the Presidents of the United States, John
F. Kennedy, Containing the Public Messages, Speeches, and Statements of the President,
January 1 to November 22, 1963 (Washington, D.C.: Government Printing Office, 1964), 127.
51. Ibid., 128-129.
52. P.L. 88-164, Title II.
53. Alfred M. Freedman, "Historical and Political Roots of the Community Mental Health
Centers Act," American Journal of Orthopsychiatry 37 (April 1967):493.
54. For one sample of how broadly the jurisdiction of community mental health was defined,
see the table of contents in Stuart E. Colann and Carl Eisdorfer, eds., Handbook of
Community Mental Health (New York: Appleton-Century-Crofts, 1972).
55. Roberts, Halleck, and Loeb, eds., Community Psychiatry, 7.
56. Chester C. Bennett, "Community Psychology: Impressions of the Boston Conference on
the Education of Psychologists for Community Mental Health," American Psychologist 20
(October 1965):833.
57. Chaim Shatan, "Community Psychiatry—Stretcher Bearer of the Social Order?"
International Journal of Psychiatry 7 (May 1969):319-320.
58. An account of this event at Lincoln Hospital and the Albert Einstein College of Medicine
can be found in Castel, Castel, and Loveli, The Psychiatric Society, 156-159.
58. An account of this event at Lincoln Hospital and the Albert Einstein College of Medicine
can be found in Castel, Castel, and Loveli, The Psychiatric Society, 156-159.
59. Ibid., 157, emphasis in original.
60. Joel Kovel, "Desiring Speech," Zeta (July-August 1989):140.
61. C. C. Burlingame, "Psychiatric Sense and Nonsense," Journal of the American Medical
Association 133 (5 April 1947):971.
62. Nevitt Sanford, "Psychotherapy and the American Public," in Psychology, Psychiatry and
the Public Interest, 3.
63. Lawrence S. Kubie, "A Doctorate in Psychotherapy: The Reasons for a New Profession," in
New Horizon for Psychotherapy: Autonomy as a Profession, ed. Robert R. Holt (New York:
International Universities Press, 1971), 14.
64. Quoted in Jack David Pressman, "Uncertain Promise: Psychosurgery and the Development
of Scientific Psychiatry in America, 1935 to 1955" (Ph.D. diss., University of Pennsylvania,
1986), 318.
65. There has been considerable controversy about whether the psychoactive drug
"revolution" was a significant factor in deinstitutionalization. All observers do agree that the
absolute numbers of institutionalized mental patients began to decline in 1956, sharply
reversing long-term trends. See Grob, From Asylum to Community, 260, table 10.2; William
Gronfein, "Psychotropic Drugs and the Origins of Deinstitutionalization," Social Problems 32
(June 1985):440, table 1; Joint Commission on Mental Illness and Health, Action for Mental
Health, 7, 21, table 3; Andrew Scull, Decarceration: Community Treatment and the Deviant,
A Radical View, 2nd ed. (Cambridge, England: Policy Press, 1984), 68, table 4-2.
66. Grob, From Asylum to Community, 42.
67. Efforts to explain deinstitutionalization have been marked by disagreement, even though
there is widespread agreement that the policy has failed miserably. For a sample, see Castel,
Castel, and Lovell, The Psychiatric Society, pt. 2; Grob, From Asylum to Community, chap.
10; Paul Lerman, Deinstitutionalization and the Welfare State (New Brunswick: Rutgers
University Press, 1982), esp. chap. 6; Scull, Decarceration, esp. chap. 8.
68. Scull, Decarceration, 152.
69. Gerald N. Grob, "The History of the Asylum Revisited: Personal Reflections," in
Discovering the History of Psychiatry, ed. Mark Micale and Roy Porter (New York: Oxford
University Press, 1993), 260-281.
Andrew Scull and Gerald Grob represent opposite poles in this debate. The most succinct
statements of their respective historiographical and philosophical views can be found in
Andrew Scull, "Humanitarianism or Control? Some Observations on the Historiography of
Anglo-American Psychiatry," in Social Control and the State: Historical and Comparative
Essays, ed. Stanley Cohen and Andrew Scull (Oxford: Martin Robertson, 1983), 118-140; and
Gerald N. Grob, "Rediscovering Asylums: The Unhistorical History of the Mental Hospital," in
The Therapeutic Revolution: Essays in the Social History of American Medicine, ed. Morris J.
Vogel and Charles E. Rosenberg (Philadelphia: University of Pennsylvania Press, 1979), 135-
157. See also their reviews of each other's recent work in History of Psychiatry 1 (1990):223-
232, and Milbank Quarterly 70 (1992):557-579.
70. "American Psychiatric Association Membership Figures, 1873-Present"; Grob, From
Asylum to Community, 297, table 11.1.
71. Grob, From Asylum to Community, 253.
72. Martin L. Gross, The Psychological Society: A Critical Analysis of Psychiatry,
Psychotherapy, Psychoanalysis and the Psychological Revolution (New York: Simon and
Schuster, 1978), 272-275; and Vandenbos, Cummings, and Deleon, "A Century of
Psychotherapy: Economic and Environmental Influences," 70-71.
73. Gross, The Psychological Society, 7.
74. Carl R. Rogers, Client-Centered Therapy: Its Current Practice, Implications, and Theory
(Boston: Houghton Mifflin, 1951), 14, referring to the report issued by the American
Psychological Association Committee on Training in Clinical Psychology in 1947.
75. Raimy, ed., Training in Clinical Psychology, xix.
75. Raimy, ed., Training in Clinical Psychology, xix.
76. Ibid., 39, 185.
75. Raimy, ed., Training in Clinical Psychology, xix.
77. Ibid., 26.
75. Raimy, ed., Training in Clinical Psychology, xix.
78. Ibid., 96.
75. Raimy, ed., Training in Clinical Psychology, xix.
79. Ibid., 93.
80. H. J. Eysenck, "The Effects of Psychotherapy," Journal of Consulting Psychology 16
(October 1952):322.
81. A useful summary of the era's research on psychotherapy can be found in Hans H. Strupp
and Kenneth I. Howard, "A Brief History of Psychotherapy Research," in History of
Psychotherapy, 309-334.
82. A summary. of the conflict between psychiatry and psychology over the independent
practice of psychotherapy can be found in Grob, From Asylum to
Community, 102-114. Documentation of this ongoing controversy can be found in Krout, ed.
Psychology, Psychiatry and the Public Interest, which includes arguments from both
psychiatry and clinical psychology.
83. American Medical Association, American Psychiatric Association, and American
Psychoanalytic Association, "Resolution on Relations of Medicine and Psychology," in
Psychology, Psychiatry and the Public Interest, 24.
84. For evidence that this professional conflict was sometimes considered in gendered terms,
see Paul E. Huston, "A Psychiatrist's Observation on the Orientation of Clinical Psychology," in
Psychology, Psychiatry and the Public Interest, 32.
85. Sanford, "Psychotherapy and the American Public," 6.
86. "The Cold War Between Psychiatry and Psychology," Psychiatric Opinion 4 (June 1967,
October 1967).
87. As early as 1948, for example, one review article discussed more than ten popular
Hollywood films in which psychological disturbances, experts, and treatments were central
themes. See Keith Sward, "Boy and Girl Meet Neurosis," The Screen Writer (September
1948):8-26. I am grateful to Susan Ohmer for bringing this article to my attention.
88. Arnold A. Rogow, The Psychiatrists (New York: G. P. Putnam's Sons, 1970), 18.
89. Janet Walker, Couching Resistance: Women, Film, and Psychoanalytic Psychiatry
(Minneapolis: University of Minnesota, 1993), chap. 6.
90. Rogow, The Psychiatrists, 15-16.
91. Napoli, Architects of Adjustment, 142.
92. Garfield, "Psychotherapy: A 40-Year Appraisal," 174.
93. The original study was conducted by the Survey Research Center at the University of
Michigan, involved 2,460 normal adults, and was published as Americans View Their Mental
Health (1960). In 1976 the National Institute for Mental Health funded a follow-up study. It
replicated the 1957 study, so that time comparisons could be made, but added some new
questions, especially in regard to use of mental health professionals and resources. It was
published in two volumes: Joseph Veroff, Elizabeth Douvan, and Richard A. Kulka, The Inner
American: A Self-Portrait from 1957-1976 and Mental Health in America: Patterns of Help-
seeking from 1957-1976 (New York: Basic Books, 1981). The 14 percent figure can be found
in 2:79, table 5.1.
94. Veroff, Douvan, and Kulka, Mental Health in America, 79, table 5.1, 222, table 7.1, 231.
95. Veroff, Douvan, and Kulka, The Inner American, 14.
96. Ibid., 25, 20. Although the biggest demographic shift was socioeconomic and educational
(many more people at the lower ends of the income and educational ladders were likely to
seek help), certain demographic indicators still pointed to disproportionately high use of
professional expertise. These indicators were youth, female gender, high level of education,
Jewish background, West Coast residence, professional parents, and a family history that
included divorce. See Veroff, Douvan, and Kulka, Mental Health in America, 90, 111-112, 124-
125.
97. Veroff, Douvan, and Kulka, Mental Health in America, 271.
98. Lawrence S. Kubie, ''Social Forces and the Neurotic Process," in Explorations in Social
Psychiatry, ed. Alexander H. Leighton, John A. Clausen, and Robert N. Wilson (New York:
Basic Books, 1957), 83.
99. John R. Seeley, "Psychiatry: Revolution, Reform, and 'Reaction,'" in Modern
Psychoanalysis, 699.
100. Kubie, "A Doctorate in Psychotherapy," 16-17.
101. Gordon W. Allport, Becoming: Basic Considerations for a Psychology of Personality (New
Haven: Yale University Press, 1955), 100-101.
102. Abraham Maslow, "Existential Psychology—What's In It for Us?" in Existential
Psychology, ed. Rollo May, 2nd ed. (New York: Random House, 1969; 1st ed. published
1961), 57, 50.
102. Abraham Maslow, "Existential Psychology—What's In It for Us?" in Existential
Psychology, ed. Rollo May, 2nd ed. (New York: Random House, 1969; 1st ed. published
1961), 57, 50.
103. Ibid., 51.
104. For a brief introduction to the ideas of five pioneers in humanistic psychology, including
Rogers and Maslow, see Roy José DeCarvalho, The Founders of Humanistic Psychology (New
York: Praeger, 1991).
105. Abraham H. Maslow, Toward A Psychology of Being, 2nd ed. (New York: D. Van
Nostrand Company, 1968), iii; Abraham H. Maslow, Motivation and Personality, 2nd ed. (New
York: Harper & Row, 1970; 1st ed. 1954), x.
106. "A Larger Jurisdiction for Psychology" is the title of part 1 in Maslow, Toward a
Psychology of Being. See also Abraham H. Maslow, The Psychology of Science (Chicago:
Henry Regnery Company, 1969), xvi.
107. The fullest statement of the client-centered approach is Rogers, Client-Centered
Therapy.
108. See Carl R. Rogers, "A Physician-Patient or a Therapist-Client Relationship?" in
Psychology, Psychiatry and the Public Interest, 135-145.
109. The first verbatim transcript of an entire course of psychotherapy was published by
Rogers in 1942. See "The Case of Herbert Bryan," in Rogers, Counseling and Psychotherapy,
261-437. Rogers himself wrote prolifically about his research activities. An accessible place to
begin is with a number of the essays in Carl R. Rogers, On Becoming a Person: A Therapist's
View of Psychotherapy (Boston: Houghton Mifflin Company, 1961). This volume also includes
an interesting autobiographical statement ("This Is Me") and a useful chronological
bibliography of his writings from 1930 through 1960. A quick summary of Rogers's early
research can be found in Laura N. Rice and Leslie S. Greenberg, "Humanistic Approaches to
Psychotherapy," in History of Psychotherapy, 199-202.
110. See, for example, Richard L. Evans, Carl Rogers: The Man and His Ideas, vol. 8 in
Dialogues with Notable Contributors to Personality Theory (New York: E. P. Dutton & Co.,
1975), 24-27.
111. Carl R. Rogers, "Introduction," in Psychotherapy and Personality Change: Co-ordinated
Research Studies in the Client-Centered Approach, ed. Carl R. Rogers and Rosalind F.
Dymond (Chicago: University of Chicago Press, 1954), 4.
112. Carl R. Rogers, "Some Hypotheses Regarding the Facilitation of Personal Growth," in On
Becoming a Person, 35, emphasis in original.
113. Rogers, Counseling and Psychotherapy, 29, emphasis in original.
114. Rogers, Client-Centered Therapy, 24.
115. R. Morison's notes on a visit with Carl Rogers, dated 5 November 1948, Record Group
1.2, series 216, box 1, folder 4, RF Archives.
116. Rogers, Client-Centered Therapy, 225, quoting his own earlier paper, "Divergent Trends
in Methods of Improving Adjustment," Harvard Educational Review (1948):209-219.
117. Rogers, Client-Centered Therapy, 422. Rogers repeatedly linked the elements of his
counseling philosophy with the elements of democracy. Other explicit examples can be found
in Rogers, Counseling and Psychotherapy, 127; and Rogers and Wallen, Counseling with
Returned Servicemen, 5, 22-24.
118. Carl R. Rogers, "Some of the Directions Evident in Therapy," in On Becoming a Person,
105. This article was originally published in O. Hobart Mowrer, ed., Psychotherapy: Theory
and Research (1953). For another illustration of awareness that the ideas of humanistic
psychology defied dominant psychological notions about human nature, see Allport,
Becoming, 99-101.
119. See "Some Issues Concerning the Control of Human Behavior: A Symposium" in Evans,
Carl Rogers, xliv-lxxxviii. This is the widely reprinted dialogue that first appeared in Science
124 (30 November 1956):1057-1066. For a less widely known dialogue between Rogers and
Skinner which took place in June 1962, see Howard Kirschenbaum and Valerie Hand
Henderson, eds., Carl Rogers: Dialogues: Conversations with Martin Buber, Paul Tillich, B. F.
Skinner, Gregory Bateson, Michael Polanyi, Rollo May, and Others (Boston: Houghton Mifflin,
1989), 82-152.
120. Skinner, "Freedom and the Control of Men," 47.
121. For another, early formulation of his ideas on democracy, science, and social control,
see B. F. Skinner, Science and Human Behavior (New York: Free Press, 1953), esp. chap. 29.
122. Carl R. Rogers, "Persons or Science? A Philosophical Question," in On Becoming a
Person, 213.
122. Carl R. Rogers, "Persons or Science? A Philosophical Question," in On Becoming a
Person, 213.
123. Ibid., 214.
124. Rogers, Client-Centered Therapy, 54.
125. Evans, Carl Rogers, 65, 67.
126. The fullest statement of his motivational theory can be found in Maslow, Motivation and
Personality. The term "self-actualization" first appeared in The Organism (1939) by German
refugee physician and Gestalt psychologist Kurt Goldstein.
127. Richard J. Lowry, ed., The Journals of A. H. Maslow, 2 vols. (Monterey, Calif.: Brooks/
Cole Publishing Company, 1979).
128. See, for example, Abraham H. Maslow, "Power Relationships and Patterns of Personal
Development," in Problems of Power in American Democracy, ed. Arthur Kornhauser (Detroit:
Wayne State University Press, 1957), 92-131. An earlier essay had equated authoritarianism
with mental sickness. See A. H. Maslow, "The Authoritarian Character Structure," Journal of
Social Psychology, S.P.S.S.I. Bulletin 18 (November 1943):401-411.
129. Maslow, Motivation and Personality, 67, emphasis in original.
129. Maslow, Motivation and Personality, 67, emphasis in original.
130. Ibid., 99, emphasis in original.
129. Maslow, Motivation and Personality, 67, emphasis in original.
131. Ibid., chap. II. See also Maslow, Toward A Psychology of Being, 74-96.
132. Maslow, Motivation and Personality, 180.
132. Maslow, Motivation and Personality, 180.
133. Ibid., 58 n. 9.
132. Maslow, Motivation and Personality, 180.
134. Ibid., 38.
135. Lowry, ed., The Journals of A. H. Maslow, 1:51, 52.
135. Lowry, ed., The Journals of A. H. Maslow, 1:51, 52.
136. Ibid., 1:631-632.
137. Abraham H. Maslow, "Eupsychia—The Good Society," Journal of Humanistic Psychology
1 (Fall 1961): 10.
138. Lowry, ed., The Journals of A. H. Maslow, 2:835.
138. Lowry, ed., The Journals of A. H. Maslow, 2:835.
139. Ibid., 2:838.
138. Lowry, ed., The Journals of A. H. Maslow, 2:835.
140. Ibid., 1:262, 429, 629, emphasis in original.
138. Lowry, ed., The Journals of A. H. Maslow, 2:835.
141. Ibid., 2:877. The fullest statement of Maslow's political agenda can be found in 1:631-
632.
138. Lowry, ed., The Journals of A. H. Maslow, 2:835.
141. Ibid., 2:877. The fullest statement of Maslow's political agenda can be found in 1:631-
632.
142. Ibid., 1:646, 2:733, 1120.
143. Maslow, Toward a Psychology of Being, 8, emphasis in original. For another formulation,
see Maslow, Motivation and Personality, 268.
144. Abbie Hoffman, Soon to be a Major Motion Picture (New York: Perigree, 1980), 26.
144. Abbie Hoffman, Soon to be a Major Motion Picture (New York: Perigree, 1980), 26.
145. Ibid., 26.
146. Lowry, ed., The Journals of A. H. Maslow, 2:1090.
146. Lowry, ed., The Journals of A. H. Maslow, 2:1090.
147. Ibid., 2:883.
148. Carl R. Rogers, "The Emerging Person: A New Revolution," in Evans, Carl Rogers, 175.
Notes